| Doctor Name: | CAROL VIVORI |
| NPI Number: | 1255722716 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | RN230503 |
| Business Practice Address: | 132 Mass Moca Way North Adams, MA - 012472446 |
| Business Phone Number: | 4136644600 |
| Business Fax Number: | 4136644660 |
| Mailing Address: | 132 Mass Moca Way, NORTH ADAMS |
| State: | MA |
| Postal Code: | 012472446 |
| Phone Number: | 4136644600 |
| Fax Number: | 4136644660 |
| NPI Enumeration Date: | 02/05/2015 |
| NPI Last Update Date: | 01/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | RN230503 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |